MERCY HEALTH SYSTEM CORPORATION NPI 1467498857

NPI Information

  • NPI: 1467498857
  • Provider Name: MERCY HEALTH SYSTEM CORPORATION
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • :
  • CLIA Number: 52D0392857
  • Address: 3524 E MILWAUKEE ST
    JANESVILLE, WI
    ZIP 53546
  • Phone: (608) 754-5194

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NPI Details

MERCY HEALTH SYSTEM CORPORATION is a pharmacy in Janesville, WI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MERCY HEALTH SYSTEM CORPORATION NPI is 1467498857. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3524 E MILWAUKEE ST
JANESVILLE, WI
ZIP 53546-626
Phone: (608) 754-5194
Fax: (608) 756-8496

The provider's authorized official is Shannon Dunphy-alexander .
The authorized official title is Cfo and has the following contact phone number (608) 757-3126.

The CLIA number assigned to this NPI record is 52D0392857 - physician office with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 6/22/2006 and was last updated on 1/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy7648WISCONSINYes
23336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133220100MEDICAIDWISCONSIN
25101302OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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